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Final Waiver of Lien <br />State oflndfana, County of 4 <br />0SS: <br />v6pikfter" being duty sworn thathe/she is the e i <br />(Name of Officer) (Title) <br />of Envy io„ rvtavttal Glass Inc. having contracted with of 5otf+, <br />(Contractor) (Owner) <br />to famish certain materials and/or labor as follows; rcor er aid a b�t� <br />(Description) <br />for a project known as L, bteourtr ce,,',r V.,,." <br />(Name ofProjeot) <br />located at Z 13 V✓a56' rt for, <br />and owned by 13era A <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: <br />(PARTIAL. WAIVER) that there is due from the Contractor the suns of <br />Dollars <br />❑ receipt of which is hereby aclatowledged; or <br />❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Wever of Lien whlch is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />( )� <br />FINAL WAl VCR I � at the final balance due from the contractor is the sum of "��G=� ��" ��/ a <br />❑ receipt of which is hereby acknowledged; or <br />❑" the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall <br />become effective only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever <br />on the above-deserlbed property and improvements thereon an account of labor or material or both, furnished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further certifl that no other party has any claim or right to a <br />lien on account of any work performed or material furnished to the undersigned fors roject, and within the scope of this Affidavit <br />and Waiver of Li <br />en. <br />(Firm), (Authorized Representative) <br />STATE OF RqDIA14A, RYA la II ) <br />) SS: <br />jr,, ' ST. 0SEPItCOUNTY <br />Before me, the undersigned, a Not Public, in and for said County and State, personally appeared <br />and acimowledged the execution of the foregoing <br />Affidavit and Waiver of Lien. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of <br />I A4(°,V 200, r a <br />N nary blic Signa�� <br />My Commission Expires: <br />Residing in a°: County, M W+K'^J <br />owy Public Name <br />JENNIFEP M ©UPUIE <br />NOTARY Public <br />WAYNE COUNTY, STATE OF MICHIGAN <br />MY COMMISSION ExpiRES 01.26.2021 <br />